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Multimodal pain control key tenant of ERAS strategy
• Reducing opioids a goal across all programs
Analysis in PACU revealed patients receiving high amounts
of opioids despite epidural in place
• Nursing gap in training on education and epidural protocols
• Closed gap and allowed for incorporating into RN practice
Orders required for new protocols and guidance
• New PACU orders available for Anesthesiologist
• By enhancing training for epidurals, other medication
classes were also incorporated into PACU RN practice
(lidocaine drips, etc.)
Ordering strategies in Peri-Op